Healthcare Provider Details

I. General information

NPI: 1871131920
Provider Name (Legal Business Name): DR. KAY'S COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3653 CORTEZ RD W STE 110B
BRADENTON FL
34210-3168
US

IV. Provider business mailing address

3653 CORTEZ RD W STE 110B
BRADENTON FL
34210-3168
US

V. Phone/Fax

Practice location:
  • Phone: 941-914-8133
  • Fax:
Mailing address:
  • Phone: 941-914-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH L KRZEWSKI
Title or Position: CEO
Credential: ED.D, LMHC, CAP
Phone: 941-914-8133